Community Supporter Sponsor Application

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* 1. What is your full name?

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* 2. What is the name of your business?

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* 3. What is email address?

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* 4. What is phone number?

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* 5. What's the best time to call you?

Morning

Afternoon

Evening

Weekend

Other (please specify)

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* 6. Is your business online only?

Yes

No

Other (please specify)

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* 7. Please provide your business address.

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* 8. What is the URL of your business website?

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* 9. Please share the links to your business's social media profiles.

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* 10. Which package are you interested in?

Package 1 - $550

Package 2 - $850

Package 3 - $1,500

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* 11. How Did You Hear About This Opportunity?

I Luv Da Blues Social Media

I Luv Da Blues Website

I Luv Da Blues Email

BuZZerk! Marketing: Tony Anthony

Other (please specify)